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Musical Theatrix Registration

E-mail musicaltheatrix@comcast.net
Website musicaltheatrix.com
All classes are paid in full at registration.
*Deduct $25.00 for second sibling
*Note: Refunds will not be given for missed lessons or withdrawals
Make checks payable and mail deposits to: Musical Theatrix: 10350 College Square, Columbia MD. 21044

Registration Form
____ Razz-a-ma-Tap

~ $ 90.00
Total Deposit: ___________

Students Name:

_______________________________________ Grade: ______

Parents Name:

____________________________________________________

Address:

__________________________________________________________________________________
Street

City

Phone Number: Home: ___________________

Zip Code

Cell: ________________________

E-mail: _____________________________________________________________
I hereby understand and agree that all classes are taken at my childs sole risk. Judy Templeton, her staff and the Slayton
House are not responsible for any loss or damage resulting from any property damage or personal injury arising out of or connected
with the use of the facilities or participation in the classes.

Permission is granted to Musical Theatrix to use video or photographs in advertising and publicity.
____________________________
Student/s Name

____________________________
Parents Signature

______
Date